A 54-Year-Old Man Comes to the Office Due to Daytime

A 54-year-old man comes to the office due to daytime sleepiness and lack of energy.  The symptoms began 6 months ago and have progressively worsened so that he feels "completely drained" by the end of the day.  The patient's wife mentions that he snores loudly.  His past medical history is unremarkable, although he has not seen a physician in over 10 years.  The patient does not use tobacco or alcohol, and he works in the warehouse of an agricultural supply company.  BMI is 34 kg/m².  Physical examination shows a narrow oropharynx and a large neck circumference.  The patient is at increased risk of developing which of the following?

A) Bronchiectasis
B) Hypertrophic cardiomyopathy
C) Laryngeal carcinoma
D) Narcolepsy
E) Pulmonary hypertension

Correct Answer:

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